Deniliquin Local Health Information

Deniliquin Local Health Information Collated by: Deniliquin Local Health Advisory Committee (Deni LHAC) November 2020

About: Deniliquin Local Health Advisory Committee (Deni LHAC) brings you information on health services in Deniliquin. These pages focus on providing information on what the services do, programs they run and how to access these services.

These services are mostly Murrumbidgee Local Health District services, free to everyone. Some pages provide information on services through NGO’s (nongovernment organisations) and private practitioners.

Contents: Mental Health Drug and Alcohol Services...................................................3 Help in Deni – How to Access Counselling.................................................4 Support and Recovery Services Mental Health...........................................5 Online and Digital Mental Health Information.............................................6 Youth Mental Health and Wellbeing.............................................................7 Community Health – Community Health and Rehabilitation.....................8 Community Health Nurses – Community Health Nursing services..........9 Allied Health – Allied Health Services........................................................10 Aboriginal Health.........................................................................................11

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DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

COMMUNITY MENTAL HEALTH DRUG AND ALCOHOL SERVICE This week we introduce the mental health services available through MLHD. We explain a little bit more about mental illness, what help looks like and what the team does at Cressy Street Centre.

Every year 1 in 5 Australians will experience a mental health condition which effects how a person feels, thinks, behaves and relates to others. Mental illness is a general term that refers to a group of illnesses, much the same way that heart disease refers to a wide range of illnesses and disorders that effect the heart. These conditions cover a wide spectrum from a severe and complex mental illness that significantly impacts the person to a mental health condition which may be temporary as a reaction to the stress in people’s life. This can develop into more severe mental health condition so it’s important to seek help. Referrals are prioritised according to risk and need rather than diagnosis. Urgent care is given to people in crisis and who are at risk and they may be co- managed with other services.

SEEKING HELP

The team includes nurses, social workers, occupational therapists, psychologists, Aboriginal mental health workers and psychiatrists. A consumer peer worker provides encouragement, support and hope to consumers. Families and carers can access support from the family and carer support worker.

The staff work closely with local GPs, community organisations and other health and social services to support you to improve and maintain your health.

Outreach is provided to people living in the surrounding areas of Moama, Cummeragunja, Mathoura, Jerilderie, Hay, Barham, Moulamein, Tooleybuc, Tocumwal, Berrigan and Finley.

Services Provided By The Cressy Street Centre:

People often don’t know where to start to get the mental health services they need. Your local GP or other health professionals can help connect you with the right mental health service. It’s common to feel unsure and to wonder whether you should try to handle things on your own. It is always ok to ask for help – even if you’re not sure you are experiencing a specific mental health problem.

Specialist Mental Health Services The specialist mental health teams provide assessment, therapy and treatment services for people with a mental illness that result in significant impairment to a person’s thinking and emotions. Following an assessment, clinicians can offer a range of interventions based upon individual, family and group evidenced based models of care.

You might want to seek help if you’re:

Adult Mental Health Services (AMHS)

• worrying more than usual • finding it hard to enjoy your life • having thoughts and feelings that are difficult to cope with, which have an impact on your day-to-day life

This team supports adults between the ages of 17 and 65 with a diverse range of mental illnesses. These conditions include: post- traumatic stress symptoms, mood disorders, anxiety disorders, eating disorders, personality disorders and psychotic disorders.

Specialist adult mental health services also provide care for individuals under the NSW Mental Health Act 2007 and those who are at risk of harm to self or others.

Ongoing support is offered only to those individuals with a major mental illness who are experiencing persistent lifestyle difficulties as a result of mental illness or where there is a potential for at-risk behaviour.

• Having thought of ending your life • interested to find more support or treatment.

• Worried about someone that you live with or care for.

EMERGENCY OR CRISIS In an emergency or a crisis you can go to the Deniliquin Hospital Emergency Department. They are well trained and equipped to ensure advice for people with mental health problems and timely access to The Mental Health Emergency Consultation Service – known as MHECS for short. This is a 24 hour a day and 7 day a week service. Once the staff in the Emergency Department have spoken to you and agree that you need the MHECS service, a clinician will speak to you via video conference to work out what the next steps are so that you can receive the best support and treatment.

ACCESSLINE 1800 800 944 If you don’t feel it is necessary to go to the ED you can call Accessline. Accessline provides 24 hour/7 day per week support, advice and referral to mental health and drug and alcohol services for people anywhere in the region. Anyone with a mental health issue can use Accessline to speak with a mental health professional and be directed to the right care for them. Carers, other health professionals and emergency workers can also use Accessline for advice about a person’s clinical symptoms, the urgency of the need for care and local treatment options.

Mental Health Services for Older People (SMHSOP) Clinicians focus on people over 65 or Aboriginal people over 50 who are at considerable risk of multiple complex health issues and includes older people who reside in nursing homes and their families and carers.

Child and Adolescent Mental Health Services (CAMHS) Provide care to children and adolescents with psychological difficulties. The service supports people aged 0-17 years although this may vary depending on developmental factors. CAMHS clinicians offer a range of interventions based upon individual, family and group evidenced based models of care. One such service is Youth Works, where the clinician focusses on young people with complex or high needs who may be difficult to engage in effective treatment and support. They work with other services such as Headspace, schools and GPS and specialist services as required. This early intervention aims to avoid unnecessary hospitalisations, reduce the risk for young people of withdrawing from education or employment and to reduce the risk of developing serious mental health conditions.

Specialist Addiction Counselling

CRESSY STREET CENTRE

Specialist Addiction Counselling services aims to reduce harm caused by substance use and promote recovery. Addiction specialists are available via teleconference.

The Cressy Street Centre houses the Deniliquin Specialist Community Mental Health Drug and Alcohol Service which provides specialist assessment and support to people experiencing severe or complex mental health issues and those with drug and alcohol dependency. They help children and young people, adults and older people.

The Opioid Treatment Program (OTP) provides opioid replacement therapies for people who are dependent on opioids including heroin, morphine and oxycodone. This service works closely with GP’s, pharmacies and the hospital to ensure people receive appropriate care.

WHAT CAN WE, AS A COMMUNITY, DO TO HELP? Accessline and the hospital ED are the gateways to receiving service and the Cressy Street team of mental health professionals are available to provide a range of effective services.

However there are barriers for people seeking help and a major barrier is STIGMA •

It’s important to think about what someone with mental illness may be going through. Family and friends are also experiencing stigma.

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It’s important to remember that people with mental illness have the same rights as everybody else.

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Be mindful about the words you use when describing yourself and others, avoiding insensitive and hurtful words, such as ‘nutter’, ‘loopy’, ‘crazy’ and ‘psycho’.

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When negative stereotypes come up in conversation or in the media, you can actively dispel myths and educate people against harmful, inaccurate stereotyping.

MENTAL ILLNESS DOES NOT DISCRIMINATE, SOMETIMES PEOPLE DO.

Together we can make our community kinder and more supportive for people.

Thanks to Deniliquin Mental Health Awareness Group and Channel4Change for supporting this page This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT LOCAL HELP FOR MENTAL HEALTH

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

Today we continue our conversation about mental health and the services available to us. We all have mental health. Very much in the same way as we all have physical health. Our mental health, just like our physical health can be impacted by many factors, which can effect our day to day functioning and quality of life.

The service is staffed by mental health qualified clinicians and peer workers. The clinicians may use CBT (Cognitive Behaviour Therapy), DBT (Dialectic Behavioural Therapy), and a range of other therapeutic approaches depending on the needs of the person. This is not a case management service but is a therapeutic service with sessions providing strategies and tools to build skills, enabling a person to manage and improve their mental health.

Seeking the right help, and getting the right help early enough, can significantly reduce the impact of these stressors on our functioning and our capacity to cope with life.

How to access My Step

1 in 5 Australian adults will have a diagnosable mental illness in any one year.

Most of the 20% of these people will be impacted by our more prevalent mental illnesses, such as depression and anxiety. Although some people may be impacted significantly, resulting in severe illness and impairment, most people diagnosed with depression and anxiety can feel better, provided they seek help from trained mental health practitioners. There is also a range of self-help strategies that can be highly effective in the management of depression and anxiety.

You can have your GP complete a MHTP or you can self-refer through the MPHN Central Access and Navigation Service (CAN) on 1800931603 or 1800 954 544 or email can@mphn.org.au.

Once a referral is made you will receive a phone call within 24hrs from a My Step Clinician to discuss your referral. Your next phone call will be within 1 week and will be with a My Step clinician whom will be providing you with supports.

Some levels of support provided do not require a MHTP. Once your information is passed onto the support that matches your needs, you will be advised and supported to obtain a MHTP from your GP.

WHERE TO START

Private Practitioners and Counsellors

We always recommend starting with your GP and having a chat to them about what is going on for you. We all experience challenging emotional issues at different times. We cannot always deal with these on our own. If you feel you need help and it is not an emergency, it is best to see your doctor.

It is important to know that lots of people are known as counsellors, so it is important when deciding on a counsellor, to feel comfortable that they are suitably qualified and experienced to help you with your needs.

The MHTP will provide a rebate for up to 10 sessions per calendar year with a Medicare Registered Provider. These providers are usually psychologists, social workers and occupational therapists who have the relevant training and experience.

The amount of the rebate will depend on the service and speciality. Very few providers bulk bill so this means you will probably have some out of pocket expense.

Some private health insurers may also offer some money back. Be sure to find out about out-of-pocket expenses upfront when booking your appointment.

When you see your doctor, they will assess what help you need. This could include:

WHAT CAN I EXPECT IN THERAPY?

• making a mental health assessment • creating a mental health treatment plan (MHTP) • referring you to a psychiatrist or other mental health professional • giving you a prescription for medicines to treat depression or anxiety.

Be sure to book a longer consultation when you make the appointment.

MENTAL HEALTH TREATMENT PLAN (MHTP) A MHTP is a plan your doctor writes with you about treating a mental health condition. Your mental health treatment plan will have goals agreed by you and your doctor. It will also have treatment options and support services available. One such local support service is called My Step.

It also helps you to access eligible, private allied health professionals like psychologists, social workers or occupational therapists who can help you to get better and live well.

TREATMENT OPTIONS IN AND AROUND DENI My Step to Mental Wellbeing (My Step) This service is provided locally by Murrumbidgee Local Health District via the Cressy Street Centre. The service is provided within a stepped care model. This means that a person with mild, moderate, or severe symptoms can be supported by clinicians and as their needs change, the level and type of support can change with them, so people do not have to go through another referral process and tell their story multiple times. This program caters for people of all ages.

A range of mental health supports is provided. This may be as simple as providing health information to a structured clinical service delivered both face to face and using telehealth. Services are also provided into residential aged care facilities and there is a Mental Health Nursing service providing support for people with complex mental health support needs.

There is no fee for the My Step support service. There has been a lot of work done recently with the online provision of services and now a person can quickly and easily receive resources and information about the strategies and support the clinician has discussed with them.

The therapist will usually do an initial interview to work out what is happening for you and what you need help with. They will then make some suggestions as to what interventions and resources might be helpful to you. This might be a mixed bag of specific therapies and self-help strategies. One of the evidence-based therapies used to treat depression and anxiety are Cognitive Behavioural Therapy (CBT).

CBT is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety and substance use problems.

CBT teaches you how your thoughts, feelings and behaviours influence each other.

What you THINK and DO affects the way you FEEL.

WHO PROVIDES PRIVATE SERVICE IN DENILIQUIN? In Deniliquin we have counsellors in private practice, and they offer a variety of different services. Most providers provide a mix of online or face-to-face services.

Suzie Crawford is a visiting psychologist who sees adults, children, adolescents, and couples, NDIS, TAC and Workcover (NSW and Vic) clients. To book an appointment call Deniliquin N8 Health 03 5881 8429 Lourene Liebenberg is a Mental Health Occupational Therapist who works mainly with adults but will see children and adolescents. She is a registered Medicare and DVA provider, and some bulk billing appointments are available currently.

Appointments can be booked by calling her on 0428 281 060.

Sue Martin is a Medicare registered Occupational Therapist who works with children and their families. She is also able to assist with children, adolescents and their families who have NDIS funding. You can make an appointment by calling Sue on 0427 876 841 Mark Johnston is an Occupational Therapist who works with Adults and Adolescent males. He is registered with Medicare, NDIA and DVA. You can make an appointment by calling Mark on 0407967224 and to discuss his fee options.

Therapy Connect is a private provider of allied health services “online” via telehealth. They offer flexible, person-centred support to children, youth and adults with disability and/or challenging behaviours. For more information contact 1300 757 806.

SELF-HELP STRATEGIES There is a lot of resources about the importance of self-care and self-help strategies. The problem many people face when they are feeling depressed or anxious, is to find the motivation and courage to do the things we know are good for us to do.

Some of strategies to maintain or improve mental wellbeing is: • Getting enough sleep • Eating Well, Exercise • Mindfulness and Relaxation exercises • Staying connected with friends and family

There are Apps to assist with this.

Talk to your clinician about how you can use and access these.

Together we can make our community kinder and more supportive for people.

Thanks to Deniliquin Mental Health Awareness Group and Channel4Change for supporting this page This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

RECOVERY FOCUSSED SERVICES Today we continue our conversation about mental health and the services available in our community. We focus on what is called recovery focussed services. Mental health, much like physical health is not static. With or without a mental health diagnosis or illness, our mental wellbeing can fluctuate. Having a diagnosis or a mental illness, does not imply poor mental wellbeing. In the same way, the absence of a diagnosis, does not mean we are mentally well. Our wellbeing is really defined by how well we are coping with life, regardless of having a mental illness.

Recovery focussed services supports people with a mental illness on their personal journey to mental wellbeing. This looks different for every person. Most people who are diagnosed with a mental illness recover, however it can be difficult to predict how long that will take and what that will look like for different people.

Recovery is not the same as a cure. It means a person is able to create and live a meaningful life with or without mental health issues.

It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by the illness. It recognises that a person living with a mental illness has a range of strengths and experiences that puts them in the best place to know what works best for them and how they want to live their lives. They are the expert in their own recovery and goals are determined by the person with the mental illness. The workers are there to support them to achieve this.

WHO CAN HELP WITH YOUR RECOVERY? Many mental health services can help with your recovery. The first step is to see your doctor, who can give you advice and refer you to local services. Further to the clinical and peer support offered by the MLHD at the Cressy St Centre, and the counselling services through a Mental Health Treatment Plan provided by your GP, Deniliquin also has specific Mental Health recovery programs such as those delivered by Wellways and the MLHD Recovery Unit in Wagga. These programs are voluntary and come at no cost to the person.

Recovery support workers work alongside the person experiencing the mental illness together with their GP, mental health clinicians, therapists, friends, carers, peers and the wider community.

WELLWAYS Wellways is a Non-Government Organisation (NGO) that delivers a range of programs and supports, such as : • Community and Living Support (CLS) • Continuity of Support (CoS) • Well Connected • Housing and Accommodation Support Initiative (HASI) These programs ensure people with a mental illness are supported to live independently, manage physical and emotional health, and get involved in the community. These programs are all slightly different, but offer a range of supports that may help with: • Social skills, connections and relationships with family and others

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Day to day living skills (self-care, cleaning, shopping, cooking and transport) Financial management and budgeting Finding and maintaining a home Vocational skills and goals Maintaining physical wellbeing, including exercise Building broader life skills including confidence and resilience Support to help maintain tenancies (housing) Assistance with accessing local health services Assistance with accessing the NDIS (National Disability Insurance Scheme) or Aged Care Services

Wellways also delivers programs around suicide prevention and after -suicide supports.

How can these programs be accessed?

Some of these services can be accessed by self-referral so it is best to call them on 1300 111 400 for information about what service would be right for you.

MENTAL HEALTH RECOVERY UNIT WAGGA WAGGA

People experiencing mental illness are able to access a unique 8-week residential course which provides a wide range of supports and skills development for people with a mental illness who are ready to take the next steps in their recovery journey.

The purpose built unit in Wagga has a welcoming and friendly feel with lots of great spaces to join in workshops and group activities as well as spend time working individually with recovery specialists.

Participants stay in their own room with an ensuite which they can secure and are welcome to bring personal items to ensure the stay is comfortable.

How will the Recovery Unit help?

This program was developed from consumer feedback and provides psychoeducation on a wide variety of subjects that will help build the skills and strengths needed to make progress with a person’s recovery. The participant is at the centre of everything that happens in this program and are encouraged to identify their own goals, write their own reports and even run their own meetings. The program includes things like: • • • • • • • • • •

Practical living skills Heathy eating Building self esteem Assertiveness Managing your mental health Social Anxiety Men’s and Women’s Health groups Psychological Therapies Employment Drugs and Alcohol issues, where required

A team of professionals work together to provide professional support, care coordination and guidance during the stay. The team consist of Social workers, Occupational Therapists, Nurses, Psychiatrists, Psychologists, Peer support workers, Dietitians and Pharmacists.

How can this program be accessed?

People from anywhere in the Murrumbidgee Local Health District are welcome and can talk to their GP about this as an option, speak to their support worker or clinician or self-refer. For more information they can be called on (02) 5943 1820. There are current Covid-19 related changes to service delivery, but information can still be accessed.

“Recovery from a mental illness is not fixing what is broken; it’s discovering wellness; it’s finding meaning and purpose; it’s living your values through life’s journey”

MORE ABOUT ADVOCACY, YOUR RIGHTS AND CARERS The Charter of Mental Health Care Principles is a rights-based set of principles that mental health services must make every effort to comply with in providing treatment, care, and support to people experiencing mental illness.

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Is your mental health service and supports helping your recovery?

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Are you given real choices? Are you given enough information to make informed choices about care and treatment?

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Do you feel unique as an individual? Do you feel supported to build on your unique strengths and promote self-responsibility?

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Do you feel respected? Are you treated with dignity and do you feel welcome at the service?

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Are you part of a partnership and communicated with? Does the service

proactively involve you in all aspects of care planning and treatment with a recovery focus? Are you involved in reviewing your recovery goals?

It is important to know if you feel you that your service is not meeting these needs, it is a potential barrier to your recovery. It is best to discuss this with your service in an open conversation.

You or your carer can also find an advocate to help you address this. One such advocacy service that visits Deniliquin is One Door.

One Door Carer Service provides information, education, advocacy and support through the Family And Carer Mental Health Program. They can be reached on 1800 843 539.

Together we can make our community kinder and more supportive for people.

Thanks to Deniliquin Mental Health Awareness Group and Channel4Change for supporting this page This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

ONLINE MENTAL HEALTH RESOURCES Today we bring to you a variety of digital and online resources people can access and use to manage mental health and wellbeing. Digital mental health services and programs allow Australians to access mental health information and support from any place, at any time. Living in rural areas where limited face to face services exist, these are very valuable services and resources.

Digital Mental Health includes services, programs or applications, delivered via online, mobile or phone-based platforms. They may be self-driven or practitioner guided and can also be used alongside other forms of therapy or support. Many people with mental health problems can find online interventions helpful.

Australia is an international leader in the development of digital mental health

Digital Mental Health Gateway Head to Health

A website that links Australians to online and phone mental health services, information and resources. headtohealth.gov.au

Crisis Support Lifeline

24/7 phone counselling, and online crisis support chat available each evening. lifeline.org.au/Get-Help

Suicide Call Back Service

National 24/7 professional telephone & online counselling for anyone affected by suicide. suicidecallbackservice. org.au 1300 659 467 (24 hrs)

Beyond Blue Support Service

Telephone, online and email counselling for people going through a tough time. beyondblue.org.au/getsupport/get-immediatesupport 1300 224 636 (24 hrs)

1800RESPECT

Phone & online counselling for people seeking help for themselves or someone else in domestic violence situations.

1800respect.org.au 1800 737 732 (24 hrs)

Information Sites Beyond Blue

Information on a range of mental health issues. www.beyondblue.org.au

SANE Australia

Information on mental health disorders and treatment, and moderated forums providing peer-topeer support. www.sane.org

resources and there are now a range of reputable Australian institutions and organisations using evidence- based resources and providing online mental health treatment programs, information, and phone and web-based support.

Some of these resources are online cognitive behavioural therapy programs, and it has been shown they can be effective for anxiety, depressive disorders, panic disorder, post-traumatic stress disorder, insomnia, pain management and phobias.

Online delivery also has the added advantages of anonymity, convenience and cost-effectiveness. It makes it accessible for more people, especially in rural and remote areas, and it is often free, making it affordable.

Be sure to jump online and look at these great sites. It might change a life.

Self Help Programs Centre for Clinical Interventions

Self-help workbooks and modules for a range of mental health issues. http://www.cci.health. wa.gov.au/resources/ consumers.cfm

MoodGYM

Teaches skills from CBT to help prevent & manage symptoms of depression.

Also useful for anxiety. moodgym.anu.edu.au

MyCompass

Sites for Specific Issues Mensline Australia

Advice, therapy and support for men with families and relationship concerns. 1300 78 99 78 www.mensline.org.au

Blue Knot Foundation Short term telephone and email counselling, info and resources for survivors of childhood trauma, families and professionals. blueknot.org.au

Butterfly Foundation

myCompass offers an online interactive self-help CBT service for people suffering from depression, anxiety and stress. mycompass.org.au

Information, web counselling, email/phone support & referrals for people concerned about eating disorders. thebutterflyfoundation. org.au 1800 33 7673 (8am-12am)

THIS WAY UP

High Res

App and online CBT course for a range of different issues. Self help and clinician assisted options available. thiswayup.org.au

Therapist Assisted Programs The Mindspot Clinic

Offers free courses for Australian adults who are experiencing difficulties with anxiety, stress, depression and low mood. mindspot.org.au

Mental Health Online

Free online programs for a range of issues, with self-guided or therapist support options. mentalhealthonline.org.au

New Access

Assessment and up to six face-to-face or phone sessions with a NewAccess coach to help tackle everyday pressures. www.beyondblue.org.au/ get-support/newaccess

An eToolbox and app to help ex-serving ADF members and their families cope with stress, build resilience and bound back. www.at-ease.dva.gov.au/ higres

Counselling Online

Text-based or phone counselling 24/7 for people concerned about their own or another’s drug or alcohol use. counsellingonline.org.au 1800 888 236

Parent Works

Online program for Australian parents and caregivers providing evidence-based parenting strategies. www.parentworks.org.au

QLife

Online ‘chat’ or phone counselling for lesbian, gay, bisexual, transgender and intersex (LGBTI) people. qlife.org.au 1800 184 527 (5.30pm-10.30pm)

Apps BeyondNow

An app and online version that involves creating a safety plan that users can work through when experiencing suicidal thoughts. beyondblue.org.au/ get-suport-beyondnowsuicide-safety-planning

ReachOut Breathe App

An app to help reduce the physical symptoms of stress and anxiety by slowing down your heart rate with your mobile or Apple Watch. itunes.apple.com/ app/apple-storeid985891649?mt=8

MoodPrism

An app that helps individuals learn about their mood by transforming daily mood reports into a summary of their emotional health. www.moodprismapp.com

MoodMission

An app based on cognitive behavioural therapy designed to help individuals overcome low moods and anxiety by discovering new and better ways of coping. www.moodmission.com

Snapshot

An app designed for Australian adults to help monitor and manage their depression or anxiety directly. www.blackdoginstitute. org.au/getting-help/selfhelp-tools-app/snapshot

MumSpace

Apps, PND treatment and information supporting emotional wellbeing of new mums. mumspace.com.au

The Deniliquin Mental Health Awareness Group (Deni MHAG) is a local not-for profit, charitable group that has been in existence since 2003, raising awareness of mental health and signposting the way to services in our local community. We have an active website, currently being updated, where these resources can be found with all the digital links. Information on all local mental health services and pathways are also available on the website.

We work closely with Channel4Change, an initiative to raise funds and awareness about rural and youth mental health. These pages have been made possible with funding from C4C initiative.

Together we can make our community kinder and more supportive for people.

www.denimentalhealth.org.au

www.channel4change.com.au

This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

YOUTH MENTAL HEALTH AND WELLBEING Today we bring you a special edition on youth related mental health and wellbeing services and not only remind you what is available in our community, but also focus on digital resources. Youth mental health services and digital resources provide great information on wellbeing and a lot of topics that can impact the wellbeing of our children and youth. Wellbeing is a focus on these digital sites and addresses more than just mental health problems. They hold a wealth of information with a focus on all things youth.

Young people do get depression and anxiety. According to beyondblue, one in seven young Australians experience a mental health condition and mental health related issues. This can lead to suicide, accounting for the biggest cause of death amongst our youth. Further evidence suggests three in four adult mental health conditions emerge by age 24, and half by age 14. The importance of knowing all this, and recognising it, is that early intervention and seeking the right help at the right time can significantly change the longer-term impact of mental health issues on the young person’s life.

SERVICES AVAILABLE IN DENILIQUIN Murrumbidgee Local Health District offers a range of mental health interventions through CAMHS (Child and Adolescent Mental Health Services) and My Step to Mental Wellbeing. These services can be accessed through Accessline 1800 800 944 or MPHN Central Access and Navigation Service on 1800 931 603.

Crisis Support Digital Mental Health Gateway Head to Health A website that links Australians to online and phone mental health services, information and resources. headtohealth.gov.au Kids Helpline Phone and real time web-based crisis support for youth (5-25yrs). kidshelpline.com.au 1800 55 1800 (Phone: 24hrs) 1800RESPECT Telephone and online counselling service to assist people experiencing sexual, domestic and family violence.

1800 737 732 (24/7) 1800respect.org.au Youth beyondblue Information, online and phone counselling for young people (12-25yrs 1300 224 636 youthbeyondblue.com

“Together we can make our community kinder and more supportive for people.

Thanks to Deniliquin Mental Health Awareness Group and Channel4Change for supporting this page”

Useful Programs and Websites BITE BACK Online activities, psychoeducation and positive psychology aiming to promote wellbeing and resilience in young people (1225yrs). biteback.org.au The BRAVE Program Prevention, intervention, and treatment of anxiety in young people. Includes child (3-7 and 8-12), teen (12-17), and parent components. http://brave4you.psy. uq.edu.au The Desk Online tools, quizzes, information and forums to promote mental and physical health and wellbeing in students. thedesk.org.au MoodGYM An online program teaching cognative behaviour therapy skills to manage symtoms of depression and anxiety. moodgym.anu.edu.au Livewire Online community to help young people (12-20yrs) cope with serious/chronic illness or conditions. https://livewire.org.au

Private Practitioners offering counselling can be accessed by starting with a visit to your GP to get a MHTP (Mental Health Treatment Plan) done and getting a referral to a counsellor. These counselling services might be face to face or online. Visit Deni MHAG website @ www.denimentalhealth.org.au for a list of private practitioners.

Reach Out And Relax (ROAR) work with young people ages 12-18 and their families who are showing early signs or at risk of developing a mental health issue. Contact Intereach on 1300 488 226.

Vinnies Services provides support to young people and their families to prevent homelessness. This might also include working with their school, and other providers to maintain their education and training and prevent them from disengaging and falling into the homelessness cycle. For more information call Vinnies on 5881 7411.

ONLINE AND DIGITAL RESOURCES There are many benefits to using online resources. Not only is it free and can be accessed from the safety and comfort of a young person’s home or personal space, but it is very well suited to the digital skills of young people. Many services offer access to counselling or someone to talk to, but importantly also educates and provides reliable information. Understanding what is happening for us and what we can do about it, can reduce fear, isolation and stigma preventing help-seeking. Not all digital resources suit everyone and we encourage you to jump online and look at this resource below @ www.emhprac.org.au These resources provide links to crisis support, interactive treatment programs, counselling support and useful APPS.

Counselling Support Butterfly Foundation Online and phone counselling, information, and support groups for people concerned about eating disorders.

1800 334 673 thebutterflyfoundation. org.au

APPS MindSpot ‘Mood Mechanic Course’ - An online program for stress, worry, anxiety and depression in people aged 18-25. mindspot.org.au

CanTeen Phone, online and email counselling and forums to help young people (1224yrs) cope with cancer. canteen.org.au 1800 835 932 support@canteen.org.au

Recharge A six-week program aiming to improve mood and energy levels by establishing a good sleep/wake routine. itunes.apple.com/au/ app/re-chargesleepwell-be-well/ id87806126?mt=8

headspace Internet chat, email or phone support for young people (12-25yrs) with a range of issues. headspace.org.au 1800 650 890

Smiling Mind A website and app teaching Mindfulness Meditation to young people and adults. smilingmind.com.au/

Qlife Online ‘chat’ and phone counselling for lesbian, gay, bisexual, transgender and intersex people (LGBTI) 1800 184 527 qlife.org.au

APPS This Way Up TeenSTRONG Online course (low cost) for teens transitioning into adulthood. Requires the supervision of a parent or carer and a prescription from clinician. thiswayup.org.au

ReachOut Practical tools and support to help youth (under 25) get through everything from everyday issues to tough times.

Includes toolbax of apps. reachout.com BeyondNow An app and online tool that invloves creating a safety plan the users can work through when experiencing suicidal thoughts. beyoyndblue.org.au/ get-support/beyondnowsuicide-safety-planning

The Deniliquin Mental Health Awareness Group (Deni MHAG) is a local not-for profit, charitable group that has been in existence since 2003, raising awareness of mental health and signposting the way to services in our local community. We have an active website, currently being updated, where these resources can be found with all the digital links. Information on all local mental health services and pathways are also available on the website.

We work closely with Channel4Change, an initiative to raise funds and awareness about rural and youth mental health. These pages have been made possible with funding from C4C initiative.

www.denimentalhealth.org.au www.channel4change.com.au This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

NEED HELP?

DENILIQUIN

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603

COMMUNITY HEALTH REHABILITATION PROGRAMS Today we focus on a range of rehabilitation programs delivered by the Deniliquin Health Service to support the wider Deniliquin Community.

With support from allied health professionals, nurses, exercise physiologists and allied health assistants the health service aims to provide both educational and exercise based approaches.

Lifeline 13 11 14

Transitional Aged Care Program The Transitional Aged Care Program (TRACs) home service provides shortterm intervention for a period of up to 12 weeks. It is for older people who have completed their hospital stay and will benefit from further short-term rehabilitation to complete their recovery. The program aims to help the older person optimise their health and well-being.

The target group:

The main objectives of these programs are to increase strength, endurance and mobility of participants as well as equip them with the knowledge they need to live safely and independently, and overall, improve quality of life.

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Medically stable and ready for discharge from a hospital or rehabilitation centre

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Assessed by the Aged Care Assessment Team (ACAT)

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Able to benefit from short-term, low intensity therapy in the community

Integrated Care Program

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Wanting to actively participate in optimising their independence through rehabilitation.

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Wanting the opportunity to assess their options for long term care arrangements (including staying at home)

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65 years and over, Aboriginal and Torres Strait Islanders, 50 years and over.

Do you have a condition like diabetes, heart disease or a long term breathing problem like chronic obstructive pulmonary disease (COPD)?

Do you need help accessing services to help you manage better at home?

Integrated Care can: •

Connect you to the right services and support

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Work with you to find services that provide the right care for you

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Help you to work with your GP to assist you to manage your chronic conditions together

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Provide education and tools to assist you to understand and manage your chronic condition Give extra support in your home to help with your health and other needs.

The Integrated Care team works with you and your family or carer to help you manage your illness, so you can stay healthy at home. Integrated care supports self-management of your health conditions. Please contact Francine Wade (03) 5882 2900 for more information.

What will be provided?

Services will be delivered in the person’s home. A comprehensive package of services will be provided to meet the person’s assessed needs. These services include the following but are not limited to: Case management Home assistance Exercise Physiology

Occupational Therapy Physiotherapy Nursing support

Dietician Social Work

Cardiac Care and Rehabilitation “Take action to improve your quality of life.”

Heart Disease affects at 55,000 Australians a year.

The Deniliquin Cardiac Care Service assists people to return to their normal activities and reduce further risk of cardiac events. The first critical step to recovering and prevention is a Cardiac Rehabilitation program. Cardiac Rehab is a program specifically designed for people with heart disease, angina, heart attack, coronary stents, heart surgery and heart failure. The focus is to promote strategies for achieving goals, self-management and prevention.

Stepping On Falls Prevention

Deniliquin Cardiac Service gives support to high risk clients along with a cardiac exercise and educational program once a week on Tuesday mornings. The program runs for eight weeks and is supported by our cardiac care coordinator, physiotherapist, allied health assistant, occupational therapist, social worker, dietician and pharmacist. Please contact our Cardiac and Respiratory Care Coordinator, Di Gardiner RN (03) 5882 2934.

“One in three people aged 65 years and over fall each year and it is one of the leading causes of hospital admissions for over 65’s.”

Pulmonary Care and Rehabilitation Chronic Obstructive Lung Disease affects 1 in 7 Australians over the age of 40 years.

Stepping On is an educational falls prevention program offered to people over 65 years who have either fallen or have a fear of falling. The program allows people to improve their knowledge and confidence regarding falls prevention with the overall aim of reducing the risk of falling and maximising independence for everyday activities.

Symptoms of COPD can slowly get worse and people tend to adjust their lifestyle rather than seek medical assistance. Breathlessness and a persistent cough is not a normal part of aging nor is it always associated with a cold or flu.

The free program runs for seven weeks and combines simple balance and strength exercises with educational sessions presented by the Physiotherapist, Dietician, Occupational Therapist, Pharmacist, Podiatrist and Optometrist. For further information please contact our Allied Health Assistants Nicole Hunt and Hanna Rath on (03) 5882 2900.

Deniliquin Health Service Strength Program

The Lung foundation urges people to have an early diagnosis which can be performed by the Respiratory Nurse by means of a Spirometry test.

The strength program is a six week exercise group run by the Physiotherapist and Allied Health Assistant, aiming to increase participant’s overall strength and conditioning. This program is targeted at those who have had a long hospital stay, therefore reducing their strength and mobility. This may be after extensive surgery, a long medical illness or other medical event.

The Deniliquin Respiratory Service provides management programs and support to improve quality of life, reduce illness and hospital admissions. This also includes the Pulmonary Rehabilitation Program which runs 2 days a week for 8 weeks. Monday 10am-11am and Wednesday 10am-12noon.

The group is small and each participant will have an assessment prior to commencing the program with the Physiotherapist. Individual rehabilitation goals are set in conjunction with the participant and a tailored exercise program is designed by the Physiotherapist. We aim to improve participant’s confidence in their abilities, reduce falls risk and improve safety of mobility. For more information please contact our Physiotherapist on (03) 5882 2887.

The Pulmonary Rehabilitation Program is delivered by a registered nurse, physiotherapist and allied health team. If you have breathlessness, wheeze, chest tightness, frequent chest infections, persistent cough, increased mucous or phlegm, ever smoked, or frequent exposure to dust, gas or fumes speak to your Doctor and request a referral to the Respiratory Service. For further information please contact our Cardiac and Respiratory Care Coordinator, Di Gardiner RN (03) 5882 2934.

Participation in group programs and improving quality of life is an important factor in maintaining good mental health.

This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

COMMUNITY CARE NURSING SERVICES This week we will focus on the services provided by our very skilled nurses based at the Deniliquin Community Health Centre in Macauley Street. The primary aim of these services is to assist individuals to maintain their health without requiring hospitalisation.

such Palliative care can be provided at home, in hospital, or in a residential aged care facility.

All of the services and programs work in close partnership with the hospital, doctors, nurses and other health professionals. They also work with other community and non- government organisations, aiming to promote independence and self-care, whilst meeting the needs of every person in a professional and safe way.

• end of life planning

Referrals for these services are mostly done through the Community Care Intake Service on 1800 654 324.

• bereavement support and access to counselling services for family members

WHAT IS THE COMMUNITY CARE INTAKE SERVICE? (CCIS) The CCIS is a telephone-based service where people can be provided with support and clinical advice regarding community health services, ensuring people receive the right services for their health needs.

Anyone can make a referral and the number to call is 1800 654 324.

What happens after a referral is made?

In Deniliquin, we have Kylie Beehag and Yvonne Shannon as part of our palliative care team. They can help with: • pain and symptom management • access to equipment • referral to allied health services such as dieticians and occupational therapy • providing information and advice to carers and access to respite for carers

Child and Family Health Jess Butcher is the Child and Family Health Nurse. The Child and Family Health Nursing role supports families through the journey of early parenthood from birth to five years. Assistance is offered with: • breastfeeding and infant nutrition • parenting and parent’s wellbeing • sleep and settling

When your referral is received you will be contacted by a Community Care Intake Nurse who will chat with you about the care you need including how you are managing at home. They will then:

• growth and development

• Arrange a time and place for your first visit

When using this service, children may be identified to need other support from professionals in our allied health team such as speech therapists, occupational therapists, dieticians and hearing screeners.

• Complete a home risk assessment over the phone to ensure safety for you an them.

• Arrange for a first visit which includes a complete assessment of your needs.

Community Nursing team The Deniliquin Community nursing team is made up of 3 Registered nurses - Belinda McCallum, Jonelle Allitt and Deanne Bradley. This service aims to prevent hospitalisation and provide ongoing care once clients are discharged from hospital and in the comfort of their home.

The Community Nurses can provide many care options including: • Wound care

• immunisation

Automatic referral to this service happens at birth and a home visit is offered within the first 14 days. Routine examinations continue to be offered at different developmental stages.

Families can self-refer through CCIS on 1800 654 324.

Aged Care Services There are many different types of aged care services available to provide assessments and services. We suggest you visit the My Aged Care website on www.myagedcare.gov.au to learn about different types of care. The ACAT team is one of the services that can be accessed when needing help.

Aged Care Assessment team (ACAT)

• Medication administration

Barb Telford and Fiona Simpson comprise our local ACAT, and both are registered nurses, with many years’ experience in a range of areas.

• Catheter care • Post-operative recovery care • Health Education, support and advice • Clinical nursing support for aged care clients to continue to be independent at home.

All referrals are received through CCIS on 1800 654 324.

Diabetes Education Jonelle Allitt is the Credentialed Diabetes Educator working at the Deniliquin Community Health Centre.

The diabetes service supports and helps individuals, families and carers to understand and manage their diabetes, whether that be Type 1, Type 2, or Gestational.

ACAT are teams of medical, nursing and allied health professionals. Their role is to conduct a comprehensive assessment to assess the needs of the frail older person over 65 (over 50 for ATSI) and facilitate the services that best meet their needs. These assessments can be conducted in the client’s home, the hospital or Aged care facilities.

They provide approvals to eligible clients for residential respite and permanent care, short term restorative care, transitional care and home care packages.

To access these services and determine eligibility clients can phone My Aged Care on 1800 200 422.

The goals of the service are to:

Aged Care Clinical Nurse Consultant

• prevent diabetes

In Deniliquin we also have the services of Sara Rose, the Aged Care Clinical Nurse Consultant. She works as part of the Geriatric Evaluation and Management Program and works closely with the visiting Geriatrician, Nurse Practitioner and other Clinical Nurse Consultants in the program. They review non acute older community and hospital-based clients with complex cognitive, functional, physical and/or behavioural issues. They also conduct comprehensive geriatric assessments including assisting in medication reviews. Although anyone can refer, a formal GP referral is required for Geriatrician reviews.

Referrals can be made through Aged Care Central Intake on ph 02 5943 1600 or via fax on 02 5943 2795.

• promote early detection • promote self-management • reduce diabetes acute and chronic complications Referrals can be made through CCIS on 1800 654 324.

Palliative Care Palliative care refers to caring for people of all ages with a life limiting illness, nearing the end of their life. The care is targeted to the needs of the individual and their family. Family and carers play an important and valuable role in palliative care and are encouraged to be involved in the planning and delivery of care, while being supported by the Palliative Care team. Many people indicate a preference to die at home, and as

OTHER SERVICES Cardiac and Respiratory Care Nurse Practitioners Provide a range of services to the community. Information on these services can be obtained by either calling Community Health on 5882 2900 or CCIS on 1800 654 324.

Together we can make our community kinder and more supportive for people.

This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

ALLIED HEALTH SERVICES Today we focus on our allied health team based at the Community Health Centre in Macauley Street. These practitioners also provide services to inpatients of Deniliquin Hospital. Allied health professionals are health professionals that are not part of the medical, dental or nursing professions.

They are university qualified practitioners with specialised expertise in preventing, diagnosing and treating a range of conditions and illnesses.

A member of the public may access services from one of these services individually, or from several as part of a team approach to their health care.

Referrals are done through the Community Care Intake Service (CCIS) on 1800 654 324.

Occupational therapy (OT) The Occupational Therapy team at Deniliquin Health Service comprises Sue Martin, Olivia Brown, Penny Strang and Belinda Pisasale, supported by Allied Health Assistants Nicole Hunt and Hanna Rath. They provide OT services to hospitals and community clients in Deniliquin, Barham, Moama, Mathoura, Moulamein and Tooleybuc.

They assist clients of all ages to be as independent as they can be in their day- to- day functioning. This includes areas of self- care, learning and play or leisure activities.

The OT team can conduct assessments and recommend equipment, prescribe home modifications or suggest different strategies and techniques to adapt tasks.

Paediatrics (Children) Sue Martin provides a paediatric OT service. Sue conducts assessments and observations of children who are having difficulty with motor skills, dressing, feeding and toileting, sensory differences, or participating at school. She works with families and carers who are having difficulty managing their children’s behavioural responses.

To get a clear picture of how a child is really participating it is important to see them in their natural environments. Children are seen at home, preschool, school and childcare and specific assessments are completed at the community health centre.

Adults Penny, Olivia and Belinda see adults who are in hospital to assist in planning for a safe discharge. They also conduct home visits, recommend modifications like rails and ramps, and prescribe equipment to assist with toileting, showering and transfers.

and movement, reducing pain, and returning to pre-injury levels of activity. These sessions are conducted in the physiotherapy room at Deniliquin Hospital.

If a client requires specialised input, they may be referred to a more appropriate source (e.g. paediatrics, women’s and men’s health). Strength and balance groups are also run intermittently, however these are currently on hold due to Covid-19.

Referrals: A referral is required from a GP or other health professional to the CCIS on 1800 654 324. Referrals will then be triaged, and clients contacted to arrange a suitable appointment time. While clients of all ages are accepted, priority is given to public health clients, frail or aged, and those who have had recent surgery, recent illness or hospital admission.

Speech Pathology Speech pathologists assess, diagnose and manage individuals of all ages with both communication impairments and swallowing difficulties. Speech Pathology provides both paediatric and adult services.

Paediatric services Speech Pathologists see children who have: • problems with eating and drinking • problems with learning the sounds we use for talking- speech skills • problems with learning how to understand and use words and sentences- language skills • Hearing problems • Stuttering and voice problems • Learning difficulties at school Their role is also to work with educators and parents/carers to encourage the development of communication skills in children in many different settings.

Adult services Speech Pathologists see adults who have difficulty with their swallowing, speech and language. These can result from illness and injuries such as stroke, traumatic brain injury, Parkinson’s Disease, Multiple Sclerosis, following brain surgery or loss of function due to ageing. Services are provided to inpatients in our hospitals, as well as community outpatient services and Nursing homes.

Problems with communication and swallowing, if left untreated, can have a large impact on a person’s ability to participate in life. Speech pathologists use a variety of techniques to address the following issues:

They can make suggestions to help make your home safer and to reduce the risk of falls at home. For those living alone at home they can recommend different types of personal response systems to ensure you are able to summon assistance in the event of a fall.

Communication problems- can be problems with speaking, hearing, listening, understanding, social skills, reading, writing, or using voice. They can occur at any stage of life, and have multiple causes including brain disorders from birth, accidents or illness. Sometimes communication problems can have no known cause.

Swallowing problems- Like breathing, swallowing is a reflex and essential to everyday life. People who have trouble swallowing are at risk of poor nutrition and dehydration, while babies and children may not take in enough nutrients to support growth and brain development.

They are also part of the Palliative Care team and can help to arrange equipment to allow clients to remain at home with their family for as long as they wish, along with education for the family regarding how to safely help their loved one shower, toilet and move around.

Referrals: One can self-refer by contacting CCIS on 1800 654 324.

For general enquiries call the Deniliquin Community Health Centre on 5882 2900.

Referrals: No referral is needed to access the service. Please contact CCIS on 1800 654 325 or if you are not sure if they are the right service for you or have not heard back about your referral please give them a call directly on 03 5882 2900.

Dieticians can help people improve food choices, nutrition and health and wellbeing.

Physiotherapy As well as providing a physiotherapy service to inpatients of Deniliquin Hospital, the physiotherapy team provides and outpatient service to members of the Deniliquin community.

Outpatient physiotherapy comprises one-on-one physiotherapy sessions for clients recovering from a significant injury, illness, surgery, or extended hospital stay. Goals of physiotherapy are different with each individual but may include increasing strength

Nutrition and Dietician Services Services are available for people with complex needs like tube feeding, kidney disease or for people having cancer treatment or diagnosed with an eating disorder.

Referrals: Although Deniliquin does not currently have a dietician, enquiries about receiving a service can be made by calling CCIS on 1800 654 324.

Private Allied Health and Related Services:

Therapy Connect (Speech, OT, Dietetics, Physio): 1300 757 806 Deniliquin OT Services: 0427 876 841 Exercise Physiologists at Motiv8 (5881 6770) and Evolve (0429 130 660)

Sexual Assault Services Deniliquin Sexual Assault Service also operates from Deniliquin Community Health Centre. It offers support and counselling for anyone who has been sexually assaulted. This includes: • Ongoing counselling and support to assist in helping the victims make sense of their feelings and thoughts following a sexual assault.

• Information and options are provided about the victim’s choices regarding: o Medical examinations, including a medical appointment to collect forensic evidence if required o Ongoing counselling o Court preparation and support for victims during the legal process. o Information about Police, Community Services, JIRT, court procedures and support when making a statement to the police if required.

For more information or referrals call Deniliquin Sexual Assault Service on 5882 2925 or after hours 02 6058 4584.

Together we can make our community kinder and more supportive for people.

This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

DENILIQUIN

NEED HELP?

LHAC CHAT

Accessline 1800 800 944 Central Access and Navigation Service MPHN - 1800 931 603 Lifeline 13 11 14

ABORIGINAL HEALTH SERVICES Today LHAC is going to talk about health services and initiatives that are in place for our Aboriginal community.

Next week is NAIDOC week. NAIDOC stands for National Aborigines and Islanders Day Observance Committee. NAIDOC Week celebrations are held across Australia to celebrate the history, culture and achievements of Aboriginal and Torres Strait Islander peoples. NAIDOC is celebrated not only in Indigenous communities, but by Australians from all walks of life. The week is a great opportunity to participate in a range of activities and to support your local Aboriginal and Torres Strait Islander community.

Close the Gap The lack of equity for our first nation people is recognised as a national issue and in 2007 the Council of Australian Governments (COAG) implemented Closing the Gap initiatives which aim to reduce disadvantage with respect to ATSI life expectancy, child mortality and a range of issues around education, employment and housing.

Drug and Alcohol Thursdays from 10 am Fred Carberry, a drug and alcohol worker is available for a yarn.

Midwife The MLHD has also provided midwife, Bianca Lopez (nee Atkinson), who provides Maternity services and support two days a month. These referrals are made by TELKUNA to Bianca.

If you want any further information about TELKUNA please give DLALC a call 03 5881 4891.

MLHD Deniliquin Community Health These services are currently provided by Jill Owens, the Aboriginal Health Education Officer based in Deniliquin but also covering Hay, Barham, Jerilderie, Finley, Tocumwal and Berrigan Hospitals. Jill has an important role to ensure the health and wellbeing of Aboriginal members in our community are addressed.

Jill provides emotional, social and cultural support for patients and their family to ensure they are participating in decisions about their care. She can advocate on a patient’s behalf and ensures that culturally sensitive service is provided. Jill can help with access to health and other supports, travel to appointments.

Jill works in partnerships to ensure there is cultural engagement for the Aboriginal Community to access a range of services.

48 Hour Follow Up

Cycles of trauma, violence, grief and loss can only be healed with support, time and respect which the entire community has a role and responsibility in. Social, emotional and cultural wellbeing is at the core of the healthy community, and we all require to close the gap.

Aboriginal peoples and Torres Strait Islanders have less access to essential health services than other Australians. Too often they don’t get the health care they need, when and where they need it. A particular problem facing Aboriginal and Torres Strait Islander communities is the relative lack of access to primary health care. Primary health care aims to prevent disease from occurring in the first place, or to detect it early. As a result, illnesses that could be prevented become chronic problems.

LHAC would like to share with our community some of the health services available to our local Aboriginal and Torres Strait Islander community.

TELKUNA (healing) CLINIC The Deniliquin Local Aboriginal Lands Council (DLALC) hosts the Telkuna clinic to the Aboriginal community but is inclusive to anyone who may be more comfortable accessing health care from DLALC premises.

ALL these services are free and at no cost to patients.

This is to provide support to patients who have been in hospital for things such as diabetes, heart disease, lung disease or kidney disease. Once a person has left hospital, there will be a check in on their well-being within 48 hours of discharge. Ongoing health needs can be identified and services put in place to support the patient’s recovery and prevent unnecessary admissions.

Aunty Jeans Program This is a community program for Aboriginal people with/or at risk of chronic illness. The program includes health assessments, information, exercise, healthy eating and fun activities. Foot Care and Smoking Cessation are also focused on. Other service providers such as diabetes educators, physiotherapists, occupational therapists and respiratory services staff can also provide services and information if required. This program is usually run weekly at Community Health, but due to Covid has been restricted.

For more information on these services call 1800 249 645. Jill Owens can also be contacted directly on 5882 2913 or Mobile 0477764219 for access or more information.

Community Mental Health Drug and Alcohol Services The team at Cressy Street include nurses, social workers, occupational therapists, psychologists, Aboriginal mental health workers and psychiatrists. Access to a range of services, across all ages are available.

One particular service that needs to be highlighted is Specialist Mental Health Services for Older People (SMHSOP)

This initiative is in its infancy stages with more services planned to being added as it grows.

Clinicians focus on people over 65 or Aboriginal people over 50 who are at considerable risk of multiple complex health issues and includes older people who reside in nursing homes and their families and carers.

Some of the services available currently:

Access to all these services is through Accessline 1800 800 944

GP Clinic Dr Marion Magee heads up a team of GP’s and other practitioners who make themselves available at Telkuna.

No appointments are required to see a GP every Saturday morning from 9:30 am onwards. There are volunteers assisting with transporting people to appointments if needed.

OTHER SUPPORTS Brother to Brother (1800 435 799) is Australia’s first 24-hour hotline supporting Aboriginal men through the Covid pandemic. Staffed by Aboriginal men, including elders, this is a culturally safe service where Aboriginal men are able to discuss relationships, family violence, parenting and any other issues that Aboriginal men may require support in.

MARATHON HEALTH Integrated Team Care Program

This is a program for Aboriginal and Torres Strait islander people who need help to access services consistent with their GP management plan. If you have a chronic disease, you are eligible for referral. The program can assist you with coordinating your health care and facilitating services such as specialist or allied health services and transport.

To find out if we can support you please call 1300 402 585 or speak to your GP or visit TELKUNA CLINIC and have a chat to a health worker there. Y You can also contact Viney Morgan Aboriginal Medical Service – 03 5869 3343. They will provide your details to a Care Coordinator, who will contact you to make a time to see you. Together the doctor and the Care Coordinator will support you and help you improve your health and wellbeing.

Together we can make our community kinder and more supportive for people.

This column has been made possible by Deniliquin Local Health Advisory Committee with funding from Murrumbidgee PHN’s Murrumbidgee Community Grants.

KEEPING THE COMMUNITY INFORMED

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